Franco de Monte, MD
Neurological Surgery · Houston, TXNPI 1063518819
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $20,720 of the $26,732 with a category attached, or 77.5%. Medtronic accounts for 99.4% of it on its own, with 2 other manufacturers making up the rest. 2025 is the largest year on record at $25,036, more than ten times the $135 reported in 2019.
Across 52 payments — averaging $514.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$27K
- Novocure Inc.$135
- Stryker$23
Across 1 payment — averaging $56,520 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- NX Development Corp.$57K
What the payments were for
- Speaking & faculty fees$20,72078%
- Travel & lodging$4,89918%
- Food & beverage$1,1134%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medtronic | 50 | $26,574 |
| Novocure Inc. | 1 | $135 |
| Stryker | 1 | $23 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- MIDAS REX$24,826
- MAZOR X SYSTEM$1,215
- Oncology$135
How this compares
$26,732 in reported general payments places this provider in the 80th percentile of 582 neurological surgery providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other neurological surgery in Houston
- Andrew RoeserHouston$660K
- Paul HolmanHouston$516K
- Taylor GistHouston$447K
- Meng HuangHouston$324K
- Laurence RhinesHouston$322K
- Omar TanweerHouston$254K
- Jeremy WangHouston$231K
- Alexander RopperHouston$208K
- Fangyi ZhangHouston$192K
- Ashwin ViswanathanHouston$185K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.